The skin above my eyelids droops down so that you can barely see my eyelid.

Question

The skin above my eyelids droops down so that you can barely see my eyelid.

Consequently, I am always lifting my eyebrows which is causing forehead lines. The forehead lines are faint as I am only 23 and they don't bother me, but I know it will get worse.

Also, I feel like the excess skin makes me look angry and I always feel tension around my brow. I like the position of my brow and I don't want it higher as I don't want to look startled. I just want to get rid of some of this excess skin.

What are my options please?

Answer

It is important to separate whether there is skin excess or whether there is also a problem related to lazy upper eyelids, as the two things have different types of treatments.

In essence significant skin excess, in the context of adequate position on the eyebrows, is typically treated by skin reduction through an upper eyelid blepharoplasty.

At 23, it is unusual but not unheard of.

Lazy upper eyelids are treated depending on how much of problem there is, and the mechanism behind it.

I would be happy to see you in consultation and assess the problem, but I do not typically do the surgery for upper eyelid ptosis ( lazy upper eyelids) and is if that is the underlying problem I would have to refer you.